ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 29 : The Child with Musculoskeletal or Articular Dysfunction Questions
Question 1 of 5
What condition can result from the bone demineralization associated with immobility?
Correct Answer: A
Rationale: Bone demineralization from immobility leads to osteoporosis, increasing fracture and renal calculi risk. Blood pooling, urinary retention, and infection susceptibility are other immobilization effects but not directly caused by bone demineralization.
Question 2 of 5
What measure is important in managing hypercalcemia in a child who is immobilized?
Correct Answer: A
Rationale: Vigorous hydration (3000-4000 ml/day for adolescents) with diuretics helps manage hypercalcemia by promoting calcium excretion. Frequent position changes address skin and respiratory issues, calcium intake is restricted, and high-protein, not just high-calorie, diets aid healing.
Question 3 of 5
The nurse is caring for an immobilized preschool child. What intervention is helpful during this period of immobilization?
Correct Answer: D
Rationale: Transporting the child by wagon outside the room provides social and environmental stimulation, aiding psychosocial health. Street clothes, not pajamas, reduce illness perception; appropriate behavioral limits are needed; and isolation from other children isn?t necessary.
Question 4 of 5
The nurse is teaching parents the proper use of a hip-knee-ankle-foot orthosis (HKAFO) for their 4-year-old child. The parents demonstrate basic essential knowledge by making what statement?
Correct Answer: D
Rationale: Checking skin every 4 hours prevents breakdown from HKAFO contact points. Alcohol dries skin, parents can check screws, and burning requires brace removal and orthotist consultation, not tolerance.
Question 5 of 5
Immobilization causes what effect on metabolism?
Correct Answer: B
Rationale: Immobilization reduces metabolic rate, slowing systems and food intake. It causes hypercalcemia, negative nitrogen balance from muscle atrophy, and decreased stress hormone production due to reduced coping capacity.